# MOONRISE WELLNESS & BIRTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rainbow Roots Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447879630
- **Authorized official:** BRANDY ROSS ND, LM (PRESIDENT)
- **Authorized official phone:** (425) 670-6752

## Contact information

- **Practice address:** 5720 220TH ST SW STE A, MOUNTLAKE TERRACE, WA 98043-3137
- **Practice address phone:** (206) 930-6027
- **Mailing address:** 20126 BALLINGER WAY NE \# 141, SHORELINE, WA 98155-1117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | — | — | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2020
- **Last updated:** 06/10/2026